My Health Record FHIR IG

My Health Record FHIR IG - Local Development build (v1.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: MHR Condition

The purpose of this profile is to support exchange of information about a patient's medical conditions and past medical history contained in a patient's My Health Record. This profile is derived from the AU Core Condition profile and describes the data structures and obligations to be met when conforming to this profile.

Usages:

• Refer to this Profile: MHR Medical Conditions View Document Composition, MHR Encounter and MHR Provenance
• Examples for this Profile: Condition/condition-eds-max-01 and Condition/condition-shs-min-01

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	AUCoreCondition	A condition, problem or diagnosis statement in an Australian healthcare context Constraints: con-3, con-4, con-5
id	Σ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SOΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Obligations Actor SHALL:handle MHR Gateway Requester
verificationStatus	?!SOΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	SO	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Obligations Actor SHALL:handle MHR Gateway Requester
severity	SO	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible)
code	SOΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible) Obligations Actor SHALL:handle MHR Gateway Requester
subject	SOΣ	1..1	Reference(MHR Patient)	Who has the condition? Obligations Actor SHALL:handle MHR Gateway Requester
encounter	SΣ	0..1	Reference(MHR Encounter)	Encounter created as part of
onset[x]	SOΣ	0..1	dateTime	Estimated or actual date or date-time Obligations Actor SHALL:handle MHR Gateway Requester
abatement[x]	SOC	0..1	dateTime	When in resolution/remission Obligations Actor SHALL:handle MHR Gateway Requester
recordedDate	SOΣ	1..1	dateTime	Date record was first recorded Obligations Actor SHALL:handle MHR Gateway Requester
note	SO	0..1	Annotation	Additional information about the Condition Obligations Actor SHALL:handle MHR Gateway Requester
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity From the FHIR Standard
Condition.code	extensible	ClinicalCondition https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 From https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from AUCoreCondition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	AUCoreCondition	A condition, problem or diagnosis statement in an Australian healthcare context
id		1..1	id	Logical id of this artifact
clinicalStatus	O	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Obligations Actor SHALL:handle MHR Gateway Requester
category	O	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Obligations Actor SHALL:handle MHR Gateway Requester
code	O	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Obligations Actor SHALL:handle MHR Gateway Requester
subject	O	1..1	Reference(MHR Patient)	Who has the condition? Obligations Actor SHALL:handle MHR Gateway Requester
encounter	S	0..1	Reference(MHR Encounter)	Encounter created as part of
onset[x]	O	0..1	dateTime	Estimated or actual date or date-time Obligations Actor SHALL:handle MHR Gateway Requester
abatement[x]	O	0..1	dateTime	When in resolution/remission Obligations Actor SHALL:handle MHR Gateway Requester
recordedDate	SO	1..1	dateTime	Date record was first recorded Obligations Actor SHALL:handle MHR Gateway Requester
note	O	0..1	Annotation	Additional information about the Condition Obligations Actor SHALL:handle MHR Gateway Requester
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	AUCoreCondition	A condition, problem or diagnosis statement in an Australian healthcare context Constraints: con-3, con-4, con-5
id	Σ	1..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SOΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Obligations Actor SHALL:handle MHR Gateway Requester
verificationStatus	?!SOΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	SO	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Obligations Actor SHALL:handle MHR Gateway Requester
severity	SO	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible)
code	SOΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible) Obligations Actor SHALL:handle MHR Gateway Requester
bodySite	ΣC	0..*	CodeableConcept	Anatomical location, if relevant Binding: Body Site (extensible) Constraints: au-core-cond-01
subject	SOΣ	1..1	Reference(MHR Patient)	Who has the condition? Obligations Actor SHALL:handle MHR Gateway Requester
encounter	SΣ	0..1	Reference(MHR Encounter)	Encounter created as part of
onset[x]	SOΣ	0..1	dateTime	Estimated or actual date or date-time Obligations Actor SHALL:handle MHR Gateway Requester
abatement[x]	SOC	0..1	dateTime	When in resolution/remission Obligations Actor SHALL:handle MHR Gateway Requester
recordedDate	SOΣ	1..1	dateTime	Date record was first recorded Obligations Actor SHALL:handle MHR Gateway Requester
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Clinical Finding (preferred)
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note	SO	0..1	Annotation	Additional information about the Condition Obligations Actor SHALL:handle MHR Gateway Requester
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity From the FHIR Standard
Condition.code	extensible	ClinicalCondition https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 From https://tx.ontoserver.csiro.au/fhir
Condition.bodySite	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 From https://tx.ontoserver.csiro.au/fhir
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence.code	preferred	ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 From https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-cond-01	error	Condition.bodySite	If a coded body site is provided, at least one coding shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from AUCoreCondition

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• MHR Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-mhr-1)
• MHR Encounter (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-encounter-mhr-1)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	AUCoreCondition	A condition, problem or diagnosis statement in an Australian healthcare context Constraints: con-3, con-4, con-5
id	Σ	1..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SOΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Obligations Actor SHALL:handle MHR Gateway Requester
verificationStatus	?!SOΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	SO	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Obligations Actor SHALL:handle MHR Gateway Requester
severity	SO	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible)
code	SOΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible) Obligations Actor SHALL:handle MHR Gateway Requester
subject	SOΣ	1..1	Reference(MHR Patient)	Who has the condition? Obligations Actor SHALL:handle MHR Gateway Requester
encounter	SΣ	0..1	Reference(MHR Encounter)	Encounter created as part of
onset[x]	SOΣ	0..1	dateTime	Estimated or actual date or date-time Obligations Actor SHALL:handle MHR Gateway Requester
abatement[x]	SOC	0..1	dateTime	When in resolution/remission Obligations Actor SHALL:handle MHR Gateway Requester
recordedDate	SOΣ	1..1	dateTime	Date record was first recorded Obligations Actor SHALL:handle MHR Gateway Requester
note	SO	0..1	Annotation	Additional information about the Condition Obligations Actor SHALL:handle MHR Gateway Requester
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity From the FHIR Standard
Condition.code	extensible	ClinicalCondition https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 From https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from AUCoreCondition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	AUCoreCondition	A condition, problem or diagnosis statement in an Australian healthcare context
id		1..1	id	Logical id of this artifact
clinicalStatus	O	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Obligations Actor SHALL:handle MHR Gateway Requester
category	O	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Obligations Actor SHALL:handle MHR Gateway Requester
code	O	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Obligations Actor SHALL:handle MHR Gateway Requester
subject	O	1..1	Reference(MHR Patient)	Who has the condition? Obligations Actor SHALL:handle MHR Gateway Requester
encounter	S	0..1	Reference(MHR Encounter)	Encounter created as part of
onset[x]	O	0..1	dateTime	Estimated or actual date or date-time Obligations Actor SHALL:handle MHR Gateway Requester
abatement[x]	O	0..1	dateTime	When in resolution/remission Obligations Actor SHALL:handle MHR Gateway Requester
recordedDate	SO	1..1	dateTime	Date record was first recorded Obligations Actor SHALL:handle MHR Gateway Requester
note	O	0..1	Annotation	Additional information about the Condition Obligations Actor SHALL:handle MHR Gateway Requester
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	AUCoreCondition	A condition, problem or diagnosis statement in an Australian healthcare context Constraints: con-3, con-4, con-5
id	Σ	1..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SOΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): The clinical status of the condition or diagnosis. Obligations Actor SHALL:handle MHR Gateway Requester
verificationStatus	?!SOΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): The verification status to support or decline the clinical status of the condition or diagnosis.
category	SO	1..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. Obligations Actor SHALL:handle MHR Gateway Requester
severity	SO	0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (extensible)
code	SOΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: Clinical Condition (extensible) Obligations Actor SHALL:handle MHR Gateway Requester
bodySite	ΣC	0..*	CodeableConcept	Anatomical location, if relevant Binding: Body Site (extensible) Constraints: au-core-cond-01
subject	SOΣ	1..1	Reference(MHR Patient)	Who has the condition? Obligations Actor SHALL:handle MHR Gateway Requester
encounter	SΣ	0..1	Reference(MHR Encounter)	Encounter created as part of
onset[x]	SOΣ	0..1	dateTime	Estimated or actual date or date-time Obligations Actor SHALL:handle MHR Gateway Requester
abatement[x]	SOC	0..1	dateTime	When in resolution/remission Obligations Actor SHALL:handle MHR Gateway Requester
recordedDate	SOΣ	1..1	dateTime	Date record was first recorded Obligations Actor SHALL:handle MHR Gateway Requester
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally Constraints: con-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: Clinical Finding (preferred)
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note	SO	0..1	Annotation	Additional information about the Condition Obligations Actor SHALL:handle MHR Gateway Requester
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical|4.0.1 From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status|4.0.1 From the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category From the FHIR Standard
Condition.severity	extensible	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity From the FHIR Standard
Condition.code	extensible	ClinicalCondition https://healthterminologies.gov.au/fhir/ValueSet/clinical-condition-1 From https://tx.ontoserver.csiro.au/fhir
Condition.bodySite	extensible	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 From https://tx.ontoserver.csiro.au/fhir
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence.code	preferred	ClinicalFinding https://healthterminologies.gov.au/fhir/ValueSet/clinical-finding-1 From https://tx.ontoserver.csiro.au/fhir

Constraints

Id	Grade	Path(s)	Details	Requirements
au-core-cond-01	error	Condition.bodySite	If a coded body site is provided, at least one coding shall be from SNOMED CT : coding.exists() implies coding.where(system='http://snomed.info/sct').exists()
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from AUCoreCondition

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• MHR Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-mhr-1)
• MHR Encounter (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-encounter-mhr-1)

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